Syringe assembly having disabling mechanism

ABSTRACT

A syringe assembly having passive disabling structure includes a barrel and a plunger rod assembly. The plunger rod assembly includes a plunger rod and a stopper connected by an indexing locking element. The number of strokes of the syringe plunger before the stopper is locked into the barrel rendering the syringe assembly unusable is determined by the number of detents on the plunger rod and stopper which engage the locking mechanism. Upon completion of the final delivery stroke, any attempt to withdraw the plunger rod from the barrel will cause the locking element to engage the barrel and trap the stopper in the barrel preventing further use of the syringe.

This application claims priority from U.S. Provisional Application No.60/490,939, filed Jul. 30, 2003 and U.S. Provisional Application No.60/523,490, filed Nov. 20, 2003.

BACKGROUND OF THE INVENTION

The present invention relates to syringe assemblies and particularly tosyringe assemblies having an automatic disabling mechanism.

Throughout the world the multiple use of hypodermic syringe productswhich are intended for single-use only, is instrumental in drug abuseand in the transfer of contagious diseases. Intravenous drug users whoroutinely share and re-use syringes are a high-risk group with respectto the AIDS virus. Also, the effects of multiple use are a major concernin some countries where repeated use of syringe products during massimmunization programs may be responsible for the spread of manydiseases. Re-use of single-use hypodermic syringe assemblies is alsoinstrumental in the spread of drug abuse even in the absence ofinfection or disease.

Many attempts have been made to remedy this problem. Most notable areearly contributions which relied on a specific act to destroy thesyringe after use either by using a destructive device or providing asyringe assembly with frangible zones so that the syringe could berendered inoperable by the application of force. Other attempts involvethe inclusion of structure which would allow the destruction ordefeating of the syringe function to a conscious act by the syringeuser. Although many of these devices work quite well, they do requirethe specific intent of the user followed by the actual act to destroy orrender the syringe inoperable. These devices are not effective with auser having the specific intent to re-use the hypodermic syringe.Accordingly, there was a need for a single-use hypodermic syringe whichafter use will become inoperable or incapable of further useautomatically without any additional act on the part of the user. Theautomatic function is much harder to provide because the means forrendering the syringe inoperable must not prevent its filling or useunder normal conditions.

A single-use syringe which automatically disables after injection istaught in U.S. Pat. No. 4,973,310 to Kosinski. This syringe contains alocking element positioned in the syringe barrel between the plunger rodand the inside surface of the barrel. In use, the syringe allows theuser to draw a pre-selected amount of medication into the chamber of thebarrel and deliver this medication, as through injection, into thepatient. Any attempt to withdraw the plunger to use the syringe a secondtime will cause the locking element to embed itself into the insidesurface of the syringe barrel to prevent proximal motion of the plungerrod.

There is still a need for a single-use syringe which will allow apre-selected number of plunger rod strokes before the automaticdisabling mechanism activates. For example, four strokes of the plungermay be required to complete the injection process. Such as when thesyringe assembly is used to draw a diluent into the syringe barrel,dispense the diluent into a vial containing the substance to bereconstituted, drawing back the reconstituted medication into thesyringe and then delivering the contents of the syringe into thepatient.

SUMMARY OF THE INVENTION

An operable syringe assembly having a passive disabling structureincludes a barrel having a cylindrical sidewall with an inside surfacedefining a chamber for retaining fluid, an open proximal end and adistal end including a distal wall having a passageway therethrough influid communication with the chamber. An elongate hollow plunger rodhaving a proximal end, an open distal end, and an interior surface isprovided. A stopper has a circular-shaped sealing element having aperipheral surface forming a seal with the inside surface of the barreland a boss member projecting proximally from the sealing element. Alocking element interacts between the stopper and the plunger rod. Thelocking element includes a central body portion having at least onecantilevered leg extending distally outwardly from the body portionwherein the leg includes a sharp free end directed outwardly forengaging the inside surface of the barrel. The locking element ismovably connected to the boss of the stopper and movably connected tothe plunger rod interior surface. Structure for indexing the lockingelement distally in the plunger rod during proximal motion of theplunger rod to draw fluid into the chamber and for indexing the lockingelement distally on the boss of the stopper during distally-directedmotion of the plunger rod for delivering fluid from the chamber throughthe passageway and means for engaging the locking element with theinside surface of the barrel sidewall for preventing reuse of thesyringe assembly is provided.

Structure for engaging the locking element with the inside surface ofthe barrel sidewall may include an opening in the distal end of theplunger rod to shorten the axial length of the interior surface area ofthe opening for allowing the sharp free end to project outwardly pastthe plunger rod and onto the inside surface of the barrel.

The structure for indexing includes at least one detent on the interiorsurface of the distal end of the plunger rod, at least one boss detenton the boss and at least one cantilevered arm on the stopper having anoutwardly extending rib near its free end sized to engage a recess inthe inside surface of the plunger rod. The indexing structure furtherincludes the locking element having at least one finger elementextending inwardly from an aperture in the central body portion of thelocking element. The locking element is positioned with its sharp freeend contacting the interior surface of the plunger rod proximally of theat least one detent and the boss member is positioned in the aperture ofthe locking element wherein the at least one finger element iscontacting the boss member proximally of the at least one boss detentand the outwardly extending rib is positioned in the recess of theplunger rod.

The syringe assembly may be configured so that the at least one detentin the plunger rod includes two axially-spaced detents and the at leastone detent in the boss includes two axially-spaced boss detents so thatthe plunger rod can be moved distally one or two times before proximalmotion of the plunger rod causes the locking element to engage theinside surface of the barrel, depending on the initial position of thelocking element at the time of use. The two axially-spaced detents inthe plunger rod may include two axially-spaced steps each having a bluntsurface at its distal end extending inwardly from the interior surfaceof the plunger rod. The two axially-spaced boss detents may each includean inclined surface extending proximally inwardly and a blunt surface ata distal end of each of the inclined surfaces extending radiallyinwardly.

The at least one cantilevered leg of the locking element may include twocantilevered legs positioned on opposite sides of the central bodyportion. The stopper may further include two radial cam projectionspositioned to contact and force the two cantilevered legs outwardly whenexcessive proximally-directed force is applied to the plunger rod in anattempt to overcome the locking element's engagement to the insidesurface of the barrel.

The at least one cantilevered arm of the stopper may include twocantilever arms positioned on opposite sides of the boss and said atleast one recess in the inner surface of the plunger rod may include tworecesses positioned on opposite sides of the plunger rod and configuredto receive the outwardly extending ribs of the two cantilevered arms.

The syringe barrel may further include an elongate tip extendingdistally from the distal wall and having a passageway therethrough influid communication with the chamber of the syringe barrel. The syringeassembly may also include a needle cannula having a distal end, aproximal end and a lumen therethrough, wherein the proximal end of theneedle cannula is connected to the distal end of the syringe barrel sothat the lumen is in fluid communication with the passageway of thebarrel. The syringe assembly may include a locking element made of sheetmetal such as stainless steel. Further, the stopper and all its elementsmay be integrally formed of thermoplastic material.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a side-elevational view of the syringe assembly of the presentinvention.

FIG. 2 is a side-elevational end view of the proximal end of the syringeassembly of FIG. 1.

FIG. 3 is a cross-sectional view of the syringe assembly of FIG. 1 takenalong line 3-3.

FIG. 4 is a perspective view of the plunger rod of the syringe assemblyviewed from its distal end.

FIG. 5 is a perspective view of the locking element of the syringeassembly viewed from its distal end.

FIG. 6 is a perspective view of the locking clip viewed from itsproximal end.

FIG. 7 is a perspective view of the stopper of the syringe assemblyviewed from its distal end.

FIG. 8 is a perspective view of the stopper viewed from its proximalend.

FIG. 9 is an exploded side-elevational view of the plunger assembly.

FIG. 10 is a cross-sectional view of the plunger assembly of FIG. 9taken along line 10-10.

FIG. 11 is an enlarged partial cross-sectional view of the syringeassembly of FIG. 1 taken along line 3-3 showing the syringe assemblybefore use.

FIG. 11A is an enlarged partial cross-sectional view similar to FIG. 11but rotated 90°.

FIG. 12 is an enlarged partial cross-sectional view of the syringeassembly of FIG. 1 taken along line 3-3 showing the syringe assemblyafter a first aspiration stroke.

FIG. 12A is an enlarged partial cross-sectional view similar to FIG. 12but rotated 90°.

FIG. 13 is an enlarged partial cross-sectional view of the syringeassembly of FIG. 1 taken along line 3-3 showing the syringe assemblyduring a first dispensing stroke.

FIG. 13A is an enlarged partial cross-sectional view similar to FIG. 13but rotated 90°.

FIG. 14 is an enlarged partial cross-sectional view of the syringeassembly of FIG. 1 taken along line 3-3 showing the syringe assembly atthe start of a second aspiration stroke.

FIG. 14A is an enlarged partial cross-sectional view similar to FIG. 14but rotated 90°.

FIG. 15 is an enlarged partial cross-sectional view of the syringeassembly of FIG. 1 taken along line 3-3 showing the syringe assemblyafter a second dispensing stroke.

FIG. 15A is an enlarged partial cross-sectional view similar to FIG. 15but rotated 900.

FIG. 16 is an enlarged partial cross-sectional view of the syringeassembly of FIG. 1 taken along line 3-3 showing a position of theinternal components in the event of an attempt to withdraw the plungerrod after the second dispensing stroke.

FIG. 16A is an enlarged partial cross-sectional view similar to FIG. 16but rotated 90°.

FIG. 17 is an enlarged partial cross-sectional view similar to thesyringe assembly of FIG. 16 showing the interaction of additionalstructure to prevent reuse.

FIG. 17A is an enlarged partial cross-sectional view similar to FIG. 17but rotated 90°.

FIG. 18 is an enlarged partial cross-sectional view similar to thesyringe assembly of FIG. 17 showing a discontinuity in the syringebarrel for engaging the locking element.

DETAILED DESCRIPTION OF THE INVENTION

The present invention is directed to a syringe assembly having a passivedisabling mechanism. The disabling mechanism enables variable dosages bythe syringe assembly and enables a selected number of cycles or strokesby the plunger rod before being automatically disabled. In one preferredembodiment, the disabling mechanism provides two aspirating and twodispensing cycles before being automatically disabled. The assemblyenables the aspiration and dispensing of a selected volume of a diluentinto a vial to reconstitute a drug, pharmaceutical agent, or othersubstance and then aspirating the reconstituted substance back into thesyringe. A selected volume of the reconstituted substance can beinjected or delivered to a patient where the volume of the substancethat is delivered can be the same or different than the volume of thesubstance aspirated into the syringe barrel. The syringe isautomatically disabled after the injection or delivery stroke byretracting the plunger rod, which activates the disabling mechanism.

The disabling mechanism is actuated by the axial movement of the plungerrod with respect to the syringe barrel and to the stopper, by moving theplunger rod in the aspirating direction. The stopper is coupled to theplunger rod to allow limited axial movement of the stopper with respectto the plunger rod. The disabling mechanism moves through a series ofstages by reversing the direction of the axial movement of the plungerrod with respect to the stopper to move the mechanism in a step-wisemanner to the disabling position. The disabling position of themechanism is attained by the relative movement between the plunger rodand the stopper and is not dependent on the position of the stopperwithin the syringe barrel or the length of the stroke by the stopper. Inthis manner, the syringe assembly is able to dispense a desired volumeof the drug or other substance, and the disabling mechanism can beactuated after the final dispensing or injection stroke regardless ofthe position of the stopper in the syringe barrel. By actuating thedisabling mechanism, the stopper cannot be retracted to aspirate asubstance into the syringe barrel but allows any substance remaining inthe syringe barrel to be dispensed.

Referring to the drawings, a syringe assembly 100 having a disablingmechanism includes a syringe barrel 102 and a plunger assembly 104.Barrel 102 includes a cylindrical sidewall 106 having an inside surface107 defining a chamber 109 for retaining fluid, an open proximal end 113and a distal end 115 including a distal wall 117 having a passageway 119therethrough in fluid communication with the chamber. In thisembodiment, the distal wall of the barrel includes an elongate tipextending distally therefrom and having a passageway in fluidcommunication with the passageway in the distal wall. In this embodimentbarrel 102 also includes a needle cannula 170 having a proximal end 171,a distal end 172 and a lumen 173 therethrough. The proximal end of theneedle cannula is attached to elongate tip 103 so that the lumen of theneedle cannula is in fluid communication with passageway 119 in thebarrel.

Plunger assembly 104 includes an elongate hollow plunger rod 108, astopper 128 and a locking element 130. Plunger rod 108 includes aproximal end 111, an open distal end 110 and an interior surface 116 andat least one aperture or recess 114 in the interior surface at thedistal end of the plunger rod. The recess includes a distal face 121. Inthis embodiment, there are two recesses 114 having distal faces 121. Theinterior surface at the distal end of the plunger rod includes at leastone detent. In this embodiment the at least one detent on the interiorsurface of the distal end of the plunger rod includes four axiallyspaced detents 118 with two detents on each side of the plunger rod.Each pair of detents is shaped to form axially spaced steps 120 witheach step having a blunt surface 122 at its distal end extendinginwardly from the interior surface of the plunger rod.

Stopper 128 includes a circularly-shaped sealing element 144 having aperipheral surface 145 forming a seal with the inside surface of thebarrel. A boss member 134 extends proximally from the sealing elementand includes at least one boss detent and in this embodiment, containstwo boss detents 136. At least one cantilevered arm extends proximallyfrom the sealing element and in this embodiment there are two cantileverarms 140 extending proximally from the sealing element. Each of thecantilevered arms includes an outwardly extending rib 142. The rib issized to fit within recess 114 in the plunger rod. The axially spacedboss detents 136 each include an incline surface 137 extendingproximally inwardly and a blunt surface 138 at the distal end of each ofthe inclined surfaces. The stopper is preferably integrally formed ofthermoplastic material such as polyethylene. The circularly-shapedsealing element and/or the peripheral sealing surface thereon may bemade of elastomeric materials such as thermoplastic elastomers, naturalrubber, synthetic rubber and combinations thereof.

Locking element 130 includes a central body portion 148 having anaperture 152 therethrough and at least one cantilevered leg 150extending distally outwardly from the body portion and at least onefinger element 154 extending inwardly from the aperture. In thisembodiment, at least two cantilevered legs with each of the cantileveredlegs having a sharp free end 155 directed outwardly for engaging theinside surface of the barrel. The configuration of sharp free end 155can be any configuration capable of engaging the inside surface of thebarrel, such as a sharp edge or one or more pointed teeth and the like.The locking element may be made of a variety of materials, orcombinations of materials, however, it is preferred to have the sharpfree ends made of metal and it is also preferred that the entire lockingelement be made of integrally formed from sheet metal such as stainlesssteel.

In this preferred embodiment plunger assembly 104 is assembled byinserting locking element 130 into the distal end of plunger rod 108.Boss 134 of stopper 128 is then inserted into the distal end of theplunger rod through aperture 152 of locking element 130 so thatcantilevered legs 150 extend toward circularly-shaped sealing element144 of the stopper as illustrated in FIGS. 9 and 10.

As will be explained in more detail hereinafter, the plunger assembly isthen inserted into barrel 102 through open proximal end 113 to theinitial position illustrated in FIGS. 11 and 11A. In the initialposition of the syringe element, locking element 130 is positioned withits sharp free ends 155 contacting the interior surface of the plungerrod proximally of axially spaced steps 120. Boss member 134 ispositioned in aperture 152 of locking element 130 so that fingerelements 154 contact boss member proximally of boss detents 136.Outwardly extending ribs 142 of cantilever arms 140 are positioned inrecesses 114 in the plunger rod. Ribs 142 are configured to complementthe recesses 114 for allowing limited axial movement of the stopper withrespect to the plunger rod. The stopper 128 further includes stabilizingmember 146 positioned proximally with respect to sealing element 144 andhas an outer dimension complimenting the other dimension of the sealingelement as shown in FIG. 11A, stabilizing member 146 has an outerdimension to contact the inner surface of the syringe barrel and isspaced from sealing element 144 to assist in stabilizing stopper 128 tomaintain the stopper and boss member 134 in an orientation substantiallyparallel to the axis of the syringe barrel. In the position illustratedin FIGS. 11 and 11A, syringe assembly 100 is ready to use for drawingliquid into the chamber of the barrel.

As will now be shown, the operation of the plunger assembly of thisembodiment includes a first aspiration stroke followed by a firstdispensing stroke, a second aspiration stroke and a final dispensingstroke after which the syringe is disabled. The disabling elementsprevent or inhibit movement of stopper 128 in a proximal aspiratingdirection thereby limiting the function of the syringe assembly to asingle use. The maximum number of strokes being limited by a number ofaxially positioned detents in the plunger rod and the number of axiallypositioned boss detents on the stopper. However, the actual number ofstrokes the syringe may make will be determined by the position of thelocking element with respect to the detents in the plunger rod and thedetents on the stopper at the time of first use. For example, a syringewith two plunger detents and two stopper detents can be supplied to theend user as a syringe capable of two strokes or four strokes. This is animportant feature of the present invention since a single syringeassembly can be provided with different stroke limitations beforedisabling.

The syringe assembly may now be used to draw liquid, such as a sterilewater diluent into the chamber of the barrel by applying a proximallydirected force to a thumb press 123 on the proximal end of the plungerrod while holding the syringe barrel. As illustrated in FIGS. 12 and12A, this causes the plunger rod to move proximally with respect to thestopper until the free end of cantilevered legs 150 moves distally alonginner surface 116 of the plunger rod and snaps past blunt surface 122 ofthe proximal most axially spaced steps 120, as best illustrated in FIG.12. Also, during this first aspiration stroke outwardly extending ribs142 engage distal surface 121 of the recesses 114 in the plunger rod asbest illustrated in FIG. 12A. When ribs 142 engage distal surface 121the stopper is drawn proximally with respect to the barrel as theplunger rod moves. The stopper is now moved proximally, through actionof the plunger rod, until the desired volume of liquid is in the chamberas determined by the user.

The liquid diluent in the chamber may now be discharged into a vial ofdry medication such as lyophilized medication, for reconstitution. Thisfirst dispensing stroke is accomplished by moving the plunger rod in adistal direction while holding the barrel. A barrel flange 124 isprovided on the proximal end of the barrel to help control motion of thebarrel during use of the syringe assembly. As best illustrated in FIGS.13 and 13A, as the plunger rod moves distally, locking element 130 moveswith the plunger rod dragging the locking element with it so that fingerelements 154 on the locking element slide from the proximal most to thedistal most boss detent by riding up inclined surface 137 and fallinginto the second detent. When the plunger rod contacts the stopper, thestopper will begin moving in a distal direction along with the plungerrod to discharge liquid diluent from the chamber into, for example, avial of lyophilized medication.

When the diluent and the lyophilized medication are mixed the syringeassembly of the present invention may now be used to withdraw thereconstituted, ready-to-inject medication into the chamber of thesyringe barrel, as best illustrated in FIGS. 14 and 14A, by applying aproximally directed force to the plunger rod while holding the syringebarrel. Proixmally directed force will cause the plunger rod to move ina proximal direction while locking element 130 will remain relativelystationary due to its connection to the boss detent on the stopper.Proximal motion of the plunger causes the locking element to movedistally along the inside surface of the plunger rod so that the sharpfree end 155 of the cantilever legs moves from the proximal-mostaxially-spaced steps 120 in the plunger rod to the second more distalaxially-spaced steps 120. Proximal motion of the plunger rod also causesoutwardly extending ribs 142 of cantilever arms 140 to engage distalsurfaces 121 of recesses 114 in the plunger rod so that the stopper nowmoves proximally with the plunger rod drawing the reconstitutedmedication into the chamber of the syringe barrel to an amountdetermined by the user. An advantage of the present invention is thatthe amount of medication drawn into the chamber, and therefore themaximum amount of medication that can be delivered, is determined by theuser at the time of use and not by the placement of the components atthe time of manufacture.

The syringe assembly of the present invention is now ready for a secondand final dispensing stroke which is best illustrated in FIGS. 15-15A.The medication is delivered to the patient by applying a distallydirected force to the plunger rod causing the plunger rod to move in adistal direction with respect to the barrel. As the plunger rod advancesin a distal direction the engagement of sharp free ends 155 of thelocking element in with the distal-most blunt surfaces 122 ofaxially-spaced steps 120 moves the locking element distally so thatfinger elements 154 of the locking element ride over the distal-mostinclined surface 137 of the boss detents distally past the most distalboss detent 136. When the distally moving plunger rod contacts thestopper, both the stopper and the plunger rod move toward the distal endof the barrel to discharge the contents of the chamber through thepassageway.

The syringe assembly has now been used and is ready to be discarded. Anyattempt to move the plunger rod in a proximal direction to refill thesyringe assembly for further use will cause the locking element todisable the syringe. Specifically, as best illustrated in FIGS. 16 and16A, moving the plunger rod in a proximal direction will allow theplunger rod to move a short distance until the sharp free ends 155 ofthe locking clip snap past the end of the plunger rod and engage theinside surface 107 of the barrel side wall. Further proximal motion ofthe plunger will be resisted by the locking element's engagement to theinside surface of the barrel sidewall. In addition, as illustrated inFIG. 17, cam surface 125 on the stopper is positioned to force sharpfree ends 155 further into the syringe barrel wall as more proximallydirected force is used in an attempt to improperly reuse the syringe.Accordingly, increased force to pull the plunger rod out of the syringebarrel results in increased force of engagement of the sharp free endsof the locking element into the barrel. It is desirable to provide acut-out area 126 in the distal end of the plunger rod along the path ofthe sharp free ends of the locking element for supporting the lockingelement and allowing it to engage the inside surface of the barrel.Further, the area at the end of the plunger rod on the area around thecutout can be configured to support the locking element so that if theuser accidentally withdraws the plunger rod a second time beforedelivering the final dose of medication the medication may still bedelivered even though the locking element sharp free ends are touchingthe barrel so long as they are moved in a distal direction and urged notto engage the inside surface of the barrel by the cut-out area and theplunger rod. In this case the area around the cutout supports and limitsthe motion and helps prevent deformation of the sharp free end of thelocking element.

It is also within the purview of the present invention to provide adiscontinuity such as a recess or projection on the interior surface ofthe barrel, as illustrated in FIG. 18, to further improve the engagementof the sharp free end of the locking element with the interior surfaceof the barrel. In FIG. 18 syringe barrel 102 includes a discontinuity inthe form of an inwardly directed projection 127 on inside surface 107 ofthe barrel. In this embodiment, projection 127 is an annular ringprojecting into the barrel and extending 360° around the inside surface.The discontinuity may be in the form of an annular projection, anannular recess or one or more projections or recesses shaped to engagelocking element, all positioned within the barrel to engage sharp freeend 155 of locking element 130 to further increase the grip of thelocking element on the barrel and inside surface.

The present syringe assembly provides an improvement over prior artdevices by allowing a variable dose of diluent, chosen by the user atthe time of use, to be drawn into the syringe, dispensing the diluentinto a vial containing a substance to be reconstituted, drawing aselected amount of the reconstituted substance back into the syringe andthen delivering the contents of the syringe. The selected amount of thereconstituted substance may be equal or less than the full volumereconstituted at the discretion of the user. The syringe assembly isautomatically disabled after the final injection stroke by reversing thedirection of the movement of the plunger rod from the dispensingdirection to the aspirating direction. After the injection stroke of thesyringe plunger the plunger rod is retracted to activate the disablingmechanism to prevent axial movement of the stopper toward the proximalend of the syringe barrel thereby preventing the stopper from beingremoved and preventing reuse of the syringe.

When the present syringe assembly has two or more detents on the stopperand in the plunger rod, the maximum number of strokes the syringeassembly will allow can be varied by the initial position of the lockingelement with respect to the stopper detents and the plunger rod detents.

While various embodiments have been chosen to illustrate the invention,it will be appreciated that changes and modifications can be madewithout departing from the scope of the invention.

1. An operable syringe assembly having passive disabling structurecomprising: a barrel including a cylindrical side wall having an insidesurface defining a chamber for retaining fluid, an open proximal end anda distal end including a distal wall having a passageway therethrough influid communication with said chamber; an elongate hollow plunger rodhaving a proximal end, an open distal end and an interior surface, atleast one recess in said interior surface at said distal end of saidplunger rod, said recess having a distal face, at least one detent onsaid interior surface at said distal end of said plunger rod; a stopperincluding a circular shaped sealing element having a peripheral surfaceforming a seal with said inside surface of said barrel, a boss memberprojecting proximally from said sealing element, at least one bossdetent on said boss, at least one cantilevered arm extending proximallyfrom said sealing element, said at least one cantilevered arm having anoutwardly extending rib near its free end, said rib being sized to fitwithin said recess in said plunger rod; a locking element including acentral body portion having an aperture therethrough, at least onecantilevered leg extending distally outwardly from said body portion,and at least one finger element extending proximally inwardly from saidaperture, said at least one leg having a sharp free end directedoutwardly for engaging said inside surface of said barrel; said lockingelement being positioned with said sharp free end contacting saidinterior surface of said plunger rod proximally of said at least onedetent, said boss member being positioned in said aperture of saidlocking element wherein said at least one finger element is contactingsaid boss proximally of said at least one boss detent, and saidoutwardly extending rib being positioned in said recess of said plungerrod, so that applying a proximally directed force to said plunger rodwhile holding said barrel causes said plunger rod to move proximallywith respect to said stopper until said free end of said cantileveredleg moves distally along said inner surface of said plunger rod to saidat least one detent and said outwardly extending rib on saidcantilevered arm engages said distal face of said recess to move saidstopper in a proximal direction for a selected distance, andsubsequently applying a distally directed force to said plunger rod todischarge fluid from said chamber through said passageway causes saidplunger rod to move in a distal direction along with said lockingelement due to its engagement with said at lest one detent until saidfinger element of said locking element rides over said at least one bossdetent and into contact with said at lest one boss detent and saidplunger rod contacts said stopper to move said stopper distally todischarge fluid from said chamber, after which applying a proximallydirected force to said plunger rod will cause said plunger rod to moveproximally until said free end of said cantilevered leg moves distallyalong said inner surface past said distal end of said plunger rod sothat said sharp end of said at least one cantilever leg engage saidinside of said barrel to help prevent proximal movement of said stopperto render said syringe assembly unusable.
 2. The syringe assembly ofclaim 1 wherein said at least one detent in said plunger rod includestwo axially spaced detents and said at least one detent on said bossincludes two axially spaced boss detents so that said plunger rod can bemoved distally two times before proximal motion of said plunger rodcauses said locking element to engage said inside surface of saidbarrel.
 3. The syringe assembly of claim 2 wherein said two axiallyspaced detents in said plunger rod include two axially spaced steps eachhaving a blunt surface at its distal end extending inwardly from saidinterior surface.
 4. The syringe assembly of claim 2 wherein said twoaxially spaced boss detents each include an inclined surface extendingproximally inwardly and a blunt surface at a distal end of each of saidinclined surfaces extending radially inwardly.
 5. The syringe assemblyof claim 2 said at least one cantilevered leg of said locking elementincludes two cantilevered legs positioned on opposite sides of saidcentral body portion and two additional axially spaced detents areprovided in said plunger rod opposite said two axially-spaced detents.6. The syringe assembly of claim 5 further including two radialprojections on said stopper positioned to engage and force said twocantilevered legs outwardly when excessive proximally directed force isapplied to said plunger rod in an attempt to overcome said lockingelement's engagement of said inside surface of said barrel.
 7. Thesyringe assembly of claim 1 wherein said at least one cantilevered armof said stopper includes two cantilevered arms positioned on oppositesides of said boss and said at least one recess in said inner surface ofsaid plunger rod includes two recesses positioned on opposite sides ofsaid plunger rod and positioned to receive said outward extending ribsof said cantilevered arms.
 8. The syringe assembly of claim 1 having adiscontinuity on said inside surface of said barrel sidewall positionedto engage said sharp free end of said locking element when said sharpfree end is contacting said inside surface of said barrel.
 9. Thesyringe assembly of claim 1 wherein said distal wall of said barrelfurther includes an elongate tip extending distally therefrom having apassageway in fluid communication with said passageway in said distalwall.
 10. The syringe assembly of claim 1 further including a needlecannula having a distal end, a proximal end and a lumen therethrough,said proximal end of said needle cannula being connected to said distalend of said barrel so that said lumen is in fluid communication withsaid passageway.
 11. The syringe assembly of claim 1 wherein saidlocking element is made of sheet metal.
 12. The syringe assembly ofclaim 1 wherein said stopper is integrally formed of thermoplasticmaterial.
 13. An operable syringe assembly having passive disablingstructure comprising: a barrel including a cylindrical side wall havingan inside surface defining a chamber for retaining fluid, an openproximal end and a distal end including a distal wall having an elongatetip extending distally therefrom and a passageway therethrough in fluidcommunication with said chamber; an elongate hollow plunger rod having aproximal end, an open distal end and an interior surface, said interiorsurface at said distal end of said plunger rod including two opposedrecesses and two pairs of axially spaced opposed steps, each stepextending inwardly from said sidewall and having a blunt surface at itsdistal end and each recess having a distal face; a stopper including acircularly shaped sealing element having a peripheral surface forming aseal within said inside surface of said barrel, a boss member projectingproximally from said sealing element, two axially spaced detents on saidboss each having an inclined surface extending proximally inwardly and ablunt surface extending radially away from said boss, two cantileveredarms extending proximally from said sealing element, each cantileveredarm having an outwardly extending rib near its free end, said rib beingsized to fit within said recesses in said plunger rod; a locking elementincluding a central body portion having an aperture therethrough and twoopposed cantilevered legs extending distally outwardly from said bodyportion, two finger elements extending proximally inwardly from saidaperture, said legs having free ends including a hook-shaped portion,said hook-shaped portion having a sharp end directed proximallyoutwardly from engaging said inside surface of said barrel and saidblunt surface in said plunger rod; said locking element being positionedwith said sharp ends of said hook-shaped portions contacting saidinterior surface of said plunger rod proximally of said blunt surface ofsaid steps, said boss member being positioned in said aperture of saidlocking element wherein said finger elements contact said bossproximally of said blunt surface of said detents, and said outwardlyextending ribs being positioned in said recess of said plunger rod, sothat applying a proximally directed force to said plunger rod whileholding said barrel causes said plunger rod to move proximally withrespect to said stopper until said hook-shaped portions of saidcantilevered legs move distally along said inner surface of said plungerrod and moves outwardly at said blunt surface of proximal-most of saidtwo steps and said outwardly extending ribs on said cantilevered armsengage said distal face of said recesses to move said stopper in aproximal direction for a selected distance, and subsequently applying adistally directed force to discharge fluid from said chamber throughsaid passageway causes said plunger to move in a distal direction withsaid locking element due to said locking element's engagement with theproximal-most of said blunt surfaces until said finger elements of saidlocking element ride over said inclined surface of the proximal-mostsaid two detents and into contact with said blunt surface and saidplunger rod contacts said stopper to move said stopper distally todischarge fluid from said chamber, an additional proximal and distalmovement of said plunger rod to draw fluid into said chamber and todeliver fluid from said chamber will cause said locking element to berepositioned so that said hook-shaped portions of said legs engage thedistal-most of said two steps and said finger elements engage thedistal-most of said blunt surfaces, after which applying a proximallydirected force to said plunger will cause said plunger rod to moveproximally until said hook-shaped portions of said cantilevered legsmove distally along said inner surface of said plunger rod past saiddistal end of said plunger rod so that said sharp ends of saidhook-shaped projections engage said inside surface of said barrel tohelp prevent proximal motion of said stopper to render said syringeassembly unusable.
 14. An operable syringe assembly having passivedisabling structure comprising: a barrel including a cylindricalsidewall having an inside surface defining a chamber for retainingfluid, an open proximal end and a distal end including a distal wallhaving a passageway therethrough in fluid communication with saidchamber; an elongate hollow plunger rod having a proximal end, an opendistal end and an interior surface; a stopper including acircular-shaped sealing element having a peripheral surface forming aseal with said inside surface of said barrel and a boss memberprojecting proximally from said sealing element; a locking elementincluding a central body portion having at least one cantilevered legextending distally outwardly from said body portion, said at least oneleg having a sharp free end directed outwardly for engaging said insidesurface of said barrel, said locking element movably connected to saidboss and said locking element movably connected to said plunger rodinterior surface; and means for indexing said locking element distallyin said plunger rod during proximal motion of said plunger rod to drawfluid into said chamber and for indexing said locking element distallyon said boss of said stopper during distally directed motion of saidplunger rod for delivering fluid from said chamber through saidpassageway and means for engaging said locking element with said insidesurface of said barrel sidewall for preventing reuse of said syringeassembly.
 15. The syringe assembly of claim 14 wherein said means forengaging said locking element with said inside surface of said barrelside wall includes an opening in said distal end of said plunger rod toshorten the axially length of the interior surface in the area of theopening and to allow said sharp free end to project outwardly past theplunger rod and into the inside surface of the barrel.
 16. The syringeassembly of claim 14 wherein means for indexing includes at least onedetent on said interior surface of said distal end of said plunger rod,at least one boss detent on said boss, at least one cantilevered arm onsaid stopper having an outwardly extending rib near its free end sizedto engage a recess in inside surface of said plunger rod and saidlocking element including at least one finger element extending inwardlyfrom an aperture in said central body portion, said locking elementbeing positioned with said sharp free end contacting said interiorsurface of said plunger rod proximally of said at least one detent, saidboss member being positioned in said aperture of said locking elementwherein said at least one finger element is contacting said bossproximally of said at least one boss detent and said outwardly extendingrib being positioned in said recess of said plunger rod.
 17. The syringeassembly of claim 14 wherein said at least one detent in said plungerrod includes two axially spaced detents and said at least one detent onsaid boss includes two axially spaced boss detents so that said plungerrod can be moved distally two times before proximal motion of saidplunger rod causes said locking element to engage said inside surface ofsaid barrel.
 18. The syringe assembly of claim 17 wherein said twoaxially spaced detents in said plunger rod include two axially spacedsteps each having a blunt surface at its distal end extending inwardlyfrom said interior surface.
 19. The syringe assembly of claim 13 whereinsaid two axially spaced boss detents each include an inclined surfaceextending proximally inwardly and a blunt surface at a distal end ofeach of said inclined surfaces extending radially inwardly.
 20. Thesyringe assembly of claim 14 said at least one cantilevered leg of saidlocking element includes two cantilevered legs positioned on oppositesides of said central body portion and said at least one detent in saidinterior surface of said distal end of said plunger rod includes twodetents positioned on opposite side of said plunger rod.
 21. The syringeassembly of claim 20 further including two radial cam projections onsaid stopper positioned to contact and force said two cantilevered legsoutwardly when excessive proximally directed force is applied to saidplunger rod in an attempt to overcome said locking element's engagementto said inside surface of said barrel.
 22. The syringe assembly of claim14 wherein said at least one cantilevered arm of said stopper includestwo cantilevered arms positioned on opposite sides of said boss and saidat least one recess in said inner surface of said plunger rod includestwo recesses positioned on opposite sides of said plunger rod andpositioned to receive said outward extending ribs of said cantileveredarms.
 23. The syringe assembly of claim 14 having a discontinuity onsaid inside surface of said barrel sidewall positioned to engage saidsharp free end of said locking element when said sharp free end iscontacting said inside surface of said barrel.
 24. The syringe assemblyof claim 14 wherein said distal wall of said barrel further includes anelongate tip extending distally therefrom having a passageway in fluidcommunication with said passageway in said distal wall.
 25. The syringeassembly of claim 14 further including a needle cannula having a distalend, a proximal end and a lumen therethrough, said proximal end of saidneedle cannula being connected to said distal end of said barrel so thatsaid lumen is in fluid communication with said passageway.
 26. Thesyringe assembly of claim 14 wherein said locking element is made ofsheet metal.
 27. The syringe assembly of claim 14 wherein said stopperis integrally formed of thermoplastic material.